Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $20.41 / $43.91	Facility		$20.41	$20.41	$43.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.41 / $53.96	Professional		$12.88	$20.41	$53.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $26.12 / $26.12	Professional		$20.17	$26.12	$26.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $41.34 / $42.58	Facility		$34.57	$41.34	$42.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $17.48 / $18.66	Professional		$16.23	$17.48	$18.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $24.49 / $48.60	Facility		$11.88	$24.49	$48.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $27.37 / $39.92	Professional		$22.50	$27.37	$39.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $25.69 / $39.90	Professional		$22.77	$25.69	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $11.22 / $18.25	Professional		$8.82	$11.22	$18.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $85.00 / $117.78	Facility		$47.34	$85.00	$117.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $282.97 / $282.97	Professional		$174.90	$282.97	$282.97